Individual
STEPHEN D ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16020 PARK VALLEY DR, ROUND ROCK, TX 78681
(512) 244-0766
(512) 244-1013
Mailing address
16020 PARK VALLEY DR, ROUND ROCK, TX 78681-3573
(512) 244-0766
(512) 244-1013
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
M6367
TX
207XS0106X
Orthopaedic Hand Surgery Physician
202664
NY
207XS0106X
Orthopaedic Hand Surgery Physician
35.089680
OH
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
M6367
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2732529
—
OH
Enumeration date
11/01/2005
Last updated
08/27/2018
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